Healthcare Provider Details

I. General information

NPI: 1447221387
Provider Name (Legal Business Name): MARTIN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 01/24/2020
Certification Date: 01/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

IV. Provider business mailing address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-3537
  • Fax: 717-718-8674
Mailing address:
  • Phone: 717-757-3537
  • Fax: 717-718-8674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY A. DUNKERLEY
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 717-757-3537